Comparison of treatment outcomes between growth-sparing instrumentation and definitive one-stage fusion for EOS patients ages 6–10 years

Purpose To compare objective outcomes for EOS patients age 6–10 years treated by growth-sparing (GS) surgery or definitive one-stage correction and fusion (DF). Methods We reviewed surgical, radiographic, PFT’s, and EOSQ-24 outcomes for EOS patients > age 6 at index surgery treated at a single in...

Full description

Saved in:
Bibliographic Details
Published in:Spine deformity 2023-11, Vol.11 (6), p.1529-1537
Main Authors: Johnston, Charles E., Thornberg, David C., Palmer, Robert
Format: Article
Language:English
Subjects:
Case Series
Medicine
Medicine & Public Health
Orthopedics
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose To compare objective outcomes for EOS patients age 6–10 years treated by growth-sparing (GS) surgery or definitive one-stage correction and fusion (DF). Methods We reviewed surgical, radiographic, PFT’s, and EOSQ-24 outcomes for EOS patients > age 6 at index surgery treated at a single institution, minimum 2-year follow-up. Neuromuscular diagnoses were excluded. Results 47 patients underwent index surgery between age 6 and 10.9 years. Twenty-one had DF, 26 had GS surgery (13 MCGR, 13 TGR). Diagnoses included 15 congenital, 15 idiopathic, 17 syndromic. Age at index was 9.1 years DF, 7.8 GS ( p   60 months follow-up, curve magnitudes, spine lengths, PFT’s, or EOSQ scores were equivalent. DF patients had fewer procedures and complications. Conclusion For patients age 6–10.9 years, outcomes were no different at > 5 year follow-up between DF and GS groups. DF patients had fewer total surgeries and complications. Equal outcomes also occurred for tweeners. As a result, GS treatment does not appear to benefit patients > age 8.
ISSN:2212-134X
2212-1358
DOI:10.1007/s43390-023-00731-9